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Sample Record for 2025-01-09-57

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000580 DEA: 071XW104 EFIS: 0723000028 QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description: VENTURA COUNTY IN CITY OF FILLMORE VEN-126REPLACE/CONSTRUCT THE FILLMORE MAINTENANCESTATION DAMAGED BY HIGH WINDS DIR\\'S EMERGENCY
Location Description:
Contractor Name: MGP CONSTRUCTION DBA MICHAEL
Contractor Address: PO BOX 355, UPLAND, CA 91785
Resident Engineer: ALFRED IRA Structure Rep.: Heidi Bernstein

Sample Information

DIME Sample ID: 2025-01-09-57
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 01/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/09/2025
The quantity of what the sample constitutes: 361 sy
A brief description of the sample: Building project of Caltrans Maintenance Station
From where was the sample collected: Job Site
Laboratory sample identification: 25-0115
Structure unique identifier:
Structure name: Building project of Caltrans Maintenance Station
The fabricator/manufacturer/facility name: Contractor

Material Information

The fabricator's/manufacturer's product name for the sample: Structural Backfill
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Job site
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-01-09-57-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 02/14/2025
Date Tested: 01/09/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test: Notified inspector Aziz Maghsoudloo of result
Test Result Compliance:
Additional Comments When Verified:
Standard Count Density 2151 g/cc
Count or Density 1 2.15 g/cc
Count or Density 2 2.12 g/cc
Count or Density 3 2.09 g/cc
Standard Count Moisture 627 g/cc
Moisture Count 1 0.09 g/cc
Moisture Count 2 0.08 g/cc
Moisture Count 3 0.08 g/cc
Sum of Count or Density 6.36 g/cc
Average of Count or Density 2.12 g/cc
Sum of Moisture Count 0.25 g/cc
Average of Moisture Count 0.08 g/cc
Calculated Percent Relative Compaction 94.6 %
Reported Percent Relative Compaction 95 %

Test 2 of 2

DIME Test ID: 2025-01-09-57-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 02/14/2025
Date Tested: 01/09/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.12
Highest adjust wet density 2.24
Relative compaction 95
% Moisture 4.1 %
Optimum Moisture 8.1 %